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WHO fears swine flu pandemic imminent

* NEW: WHO raises swine flu alert level indicating pandemic feared imminent

* NEW: Agency advises all countries to implement pandemic preparedness plans

* More swine flu cases reported; 148 infected in 11 countries

* Germany and Austria latest countries in Europe to confirm cases

updated 1 hour, 22 minutes ago

(CNN) -- The World Health Organization raised the swine flu alert to level five

Wednesday indicating it fears a pandemic is imminent.

On Wednesday, the outbreak grew in terms of confirmed cases, people killed and

countries with infections.

Health officials are scrambling to get more information about the virus for

which there is no vaccine.

" All countries should immediately activate their pandemic preparedness plans, "

said Dr. Margaret Chan, the World Health Organization's director-general.

She added: " We do not have all the answers right now but we will get them. "

Earlier, Dr. Fauci, director of the U.S. National Institute of Allergy

and Infectious Diseases, said: " It's a virus that we've never seen before.

There's no background immunity in the population and it is spreading from human

to human, all of which has the potential for a pandemic. " iReport.com: Do you

think we should be worried about swine flu?

Germany and Austria became the latest European countries to report swine flu on

Wednesday, while the number of cases increased in the United Kingdom and Spain.

There are 148 confirmed cases in 11 countries, the majority in the United

States, according to the WHO and national governments. Those figures include

seven deaths in Mexico and one in the United States.

The virus spread to five more U.S. states, and the number of people in the

United States infected with the 2009 H1N1 influenza strain grew to 91, the

Centers for Disease Control reported on Wednesday.

That number includes the country's first swine flu fatality: a 22-month-old

child from Mexico who died of the illness at a Houston, Texas hospital on

Monday.

President Barack Obama called on schools in the United States with confirmed or

possible swine flu cases to " strongly consider temporarily closing so that we

can be as safe as possible. "

In Mexico, where the outbreak originated, health officials suspect the swine flu

outbreak has caused more than 159 deaths and roughly 2,500 illnesses. So far, 26

cases -- including the seven deaths -- have been confirmed. Video Watch as CNN

tracks down " patient zero " »

More than 2,700 other patients worldwide are believed to be suffering from the

virus.

" It's clear that the virus is spreading, and we don't see it slowing down at

this point, " said Dr. Keiji Fukuda, assistant director-general of WHO, at a news

conference.

The apparent spread of swine flu was not unexpected, CDC acting director Dr.

Besser told CNN.

" Flu is a very serious infection and each virus is unique, and so it's hard to

know what we're going to be seeing, " Besser said. " But given what we've seen in

Mexico we have expected that we would see more severe infections and we would

see deaths. "

The United States is taking precautionary measures to stem the spread of the

disease, of which most cases are not severe.

U.S. Homeland Security Secretary Janet Napolitano said Wednesday that the

federal government would be releasing nearly 13 million doses of antiviral

medications to try to stem the spread of the virus.

Health officials stress the medications are only effective if taken in the early

stages of the infection.

In the meantime, scientists are working on developing a vaccine with hopes of

having a pilot version ready for testing in a few months, Fauci said.

In Mexico City, however, there is a shortage of antiviral medication. And it

became impossible to find protective surgical masks, which the government had

handed out to one out of every five residents.Video Watch as Mexico City falls

quiet »

Mexican authorities believe they may have found " patient zero " in the global

outbreak in the small village of La Gloria in the mountains of Mexico.

Five-year-old Edgar -- known as " patient zero " by his doctors --

survived the earliest documented case of swine flu in the current outbreak. He

lives near a pig farm, though experts have not established a connection between

that and his illness.

Edgar has managed to bounce back from his symptoms and playfully credits ice

cream for helping him feel better.

Researchers do not know how the virus is jumping relatively easily from person

to person, or why it's affecting what should be society's healthiest

demographic. Many of the victims who have died in Mexico have been young and

otherwise healthy.

The deadly outbreak in Mexico has prompted authorities to order about 35,000

public venues in Mexico City to shut down or serve only take-out meals as health

officials tried to contain spreading of the virus.

Governments around the world are scrambling to prevent further outbreak. Read

what steps countries are taking

Some, such as China and Russia, have banned pork imports from the United States

and Mexico, though the World Health Organization says the disease is not

transmitted through eating or preparing pig meat.

Several others countries, such as Japan and Indonesia, are using thermographic

devices to test the temperature of passengers arriving from Mexico.

Swine influenza, or flu, is a contagious respiratory disease that affects pigs.

When the flu spreads person-to-person, instead of from animals to humans, it can

continue to mutate, making it harder to treat or fight, because people have no

natural immunity.

Symptoms include fever, runny nose, sore throat, nausea, vomiting and diarrhea.

Common seasonal flu kills 250,000 to 500,000 people every year worldwide, far

more than the current outbreak of swine flu.

http://www.cnn.com/2009/HEALTH/04/29/swine.flu.international/index.html

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